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Home My WebLink AboutPermit Electrical 2014-08-25SPRINGFIELD 225 Fifth St ' - CITY OF SPRINGFIELD Springfield,OR97477 .'iL sjr Phone: 541-726-3753 "-OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01843 ww .spdngfield-ocgov permits nter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/25/2014 EXPIRES: 02/20/2015 STATUS DATE: 08/25/2014 APPLIED: 08/25/2014 SITE ADDRESS: 3322 COMMERCIAL AVE, Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702312102500 TYPE OF STRUCTURE: Commercial -PROJECT -DESCRIP—TION: --Temporary Rower _ OWNER: MARCHANT INVESTMENTS LLC Phone Number: ADDRESS: 39161 EASTON LN SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 4000 Temporary Power Service By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the properly, and the approved set of plans will remain on the site at all times during construction. Owner or Colrtractor Signature ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). F_z5-- Date 09 T ICE: 1-1 !IS PERMIT SHALL EXPIRE IF THE WORK All FHORIZED UNDER THIS PERMIT IS NOT Wi,fik/IENCED OR IS ABANDONED FOR I INY 180 DAY PERIOD. Springfield Building Permit 812512014 11:53:05AM Page 1 of 1 SPRINGFIELD-- CITY OF SPRINGFIELD d t Fx. 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 ---- OREGON 811-SPR2014-01843 mm.springfield-or.gov 3322 COMMERCIAL AVE permits nter@spdngfield-or.gov RECEIPT NO: 2014001870 RECORD NO: 811-SPR2014-01843 DATE: 08/25/2014 DESCRIPTION, ACCOUNT CODEJTRANS CODE AMOUNT DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 Temp services 200 amps or less 224-00000-426102 1003 71.00 TOTAL DUE: 98.44 PAYMENT TYPE ( PAYOR CASHIER: RHOLMAN COMMENTS Amyun l FAlu Check MARCHANT INVESTMENTS LLC Keill 98.44 1489 Sheryl Marchant TOTAL PAID: 98.44 Electrical Permit Application mmummNsummum SNnINGF18L0 V� 225 Fifth Shcet/Springfield, OR 97477+P[1(54 11726-3753#FAS(S4t)726-3689 = - oaecoN I DEPARTMENT USE ONLY This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 (lays of issuance or if work is suspended for 180 (lays. LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential p Government Commercial JOB SITE INFORMATION AND LOCATI N Job site address: 32Z ,mer F S City: S State: ZIP: Referet ee:107blaialt I Taxiol: DESCRIPTION OF WORK r / Limited energy (2) PROPERTY OWNER Name: LLC— Address: L-2 La Az. -- City: I State: I ZI P:2 7 Y7 g Phone: — 3 Services or feeders: installation, alleration, relocation LFax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This properly is not intended for sale, exchange, lease, or rent. OAR 479.540(t) an(] 479.560(l) Signature: CONTRACTOR I STALLATION Business name: (jt t� Address: `y 2S.Z City: ,-t•.. State: $ P110114&1206 -9039 Fax: E-mail: p G 6 ni CB license no.: C) ?,j BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (4l01l2013/COM) FEE SCHEDULE Number of inspections per item ( )Qty, Cost CO. I Total cost Residential, per unit, service included: 1,000 sq. R. or less (4) $147.60FS Each additional 500 sq. R. or portion thereof $ 27.60 Limited energy (2) $ 36.00 $ Eacb manufactured home omodular dwelling service or feeder (2) $ 89.00 $ Services or feeders: installation, alleration, relocation 200 amps or less (2) $ 89.00 $ 201 to 400 amps (2) $ 104,60 $ 401 to 600 amps (2) $174.00 $ 601 to 1,000 amps (2) $226.60 $ Over 1,000 amps or volts (2) $516.00 $ Reconnect only (2) $ 69.00 $ Temporary services or feeders: instalintio, altera ' a Oration 200 amps or less (2) $ , 0 $ 201 to 400 amps (2) $ 96.00 $ 401 to 600 amps (2) $138.60 $ Over 600 maps or 1,000 volts, see services or feeders section above Branch circuits: nese, a6eration, a tension per parcel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit 1 1 $ 6.60 $ b. Fee for branch circuits without purchase of a service or feeder fee: First breach circuit (2) $ 80.611 $ Each additional branch circuit $ 6.60 1 $ Miscellaneous fees: service or•feeder not irmh(ded Each plump or irrigation circle (2) $ 69.00 $ Each sign croutline lighting (2) $ 69.00 $ Signal circuit or a limited -energy panel, alteration, or extension (2) $ 80.00 $ Each additional inspection; (1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (illhdnuun Permit Ree J30;06) •av $ U !1 (B) Enter 12% surcharge (.12 x IA)) $ _ (C) Technology Fee (6% of [A]) $ % TOTAL fees and surcharges (A through C): $